Bleeding perioperative bleeding monitoring of coagulation status and platelet function

Bleeding Microchapters
Home
Patient Information
Overview
Classification
Bleeding Academic Research Consortium
TIMI bleeding criteria
GUSTO bleeding criteria
CURE bleeding criteria
ACUITY HORIZONS bleeding criteria
STEEPLE bleeding criteria
PLATO bleeding criteria
GRACE bleeding criteria
Causes
Treatment
Emergency Bleeding Control
Reversal of Anticoagulation and Antiplatelet in Active Bleed
Perioperative Bleeding
Anemia Management
Coagulation Monitoring
Coagulation Management
Discontinuation, Bridging, and Reversal of Anticoagulation and Antiplatelet Therapy Antiplatelet Agents Heparin Fondaparinux Vitamin K Antagonists New Oral Anticoagulants Comorbidities Involving Hemostatic Derangement
Specific Surgeries Cardiovascular Surgery Gynecological Bleeding Obstetric Bleeding Orthopedic/Neurosurgery Visceral/Transplant Surgery Pediatric Surgery
Congenital Bleeding Disorders von Willebrand Disease Platelet Defects Hemophilia A and B Factor VII Deficiency Rare Bleeding Disorders
Bleeding perioperative bleeding monitoring of coagulation status and platelet function On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Bleeding perioperative bleeding monitoring of coagulation status and platelet function All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Bleeding perioperative bleeding monitoring of coagulation status and platelet function
CDC on Bleeding perioperative bleeding monitoring of coagulation status and platelet function
Bleeding perioperative bleeding monitoring of coagulation status and platelet function in the news
Blogs on Bleeding perioperative bleeding monitoring of coagulation status and platelet function
Directions to Hospitals Treating Bleeding
Risk calculators and risk factors for Bleeding perioperative bleeding monitoring of coagulation status and platelet function

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

2013 ESA Guidelines for the Management of Severe Perioperative Bleeding (DO NOT EDIT)

Evaluation of Coagulation Status

Class 1

"1. We recommend the use of a structured patient interview or questionnaire before surgery or invasive procedures, which considers clinical and family bleeding history and detailed information on the patient’s medication. (Level of Evidence: C) "

"2. We recommend the use of standardized questionnaires on bleeding and drug history as preferable to the routine use of conventional coagulation screening tests such as aPTT, PT and platelet count in elective surgery. (Level of Evidence: C) "

"3. We recommend the application of transfusion algorithms incorporating predefined intervention triggers to guide hemostatic intervention during intraoperative bleeding. (Level of Evidence: B) "

"4. We recommend the application of transfusion algorithms incorporating predefined intervention triggers based on point-of-care (POC) coagulation monitoring assays to guide hemostatic intervention during cardiovascular surgery. (Level of Evidence: C) "

Evaluation of Platelet Function

Class 2

"1. We suggest preoperative platelet function testing only in addition to a positive bleeding anamnesis. (Level of Evidence: C) "

"2. We suggest that preoperative platelet function testing be used to identify decreased platelet function caused by medical conditions and antiplatelet medication. (Level of Evidence: C) "

Sources

• 2013 ESA Guidelines for the Management of Severe Perioperative Bleeding